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*48W Enrollment Details <br /> I. Enrolled Affiliate's Enterprise. <br /> Identify which Affiliates are included in the Enterprise. Check only one box in this section: <br /> ® Enrolled Affiliate <br /> ❑ Enrolled Affiliate and the following Affiliate(s): <br /> ❑ Enrolled Affiliate and all Affiliates, with following Affiliate(s) excluded: <br /> Please indicate whether the Enrolled Afflhate s:=Enterprise vuill include alt") Afflllates acquired after;the <br /> start of this Enrollment Anclude future Afflhalow <br /> tes <br /> 2. Contact information. <br /> Each party will notify the other in writing if any of he `inforinatlon in the following contact information <br /> page(s) changes. The asterisks (*) indicate required'"fields By provlding,contact information, Enrolled <br /> Affiliate consents to Its use for purposes of`administering this Enrollment by Microsoft, its Affiliate and <br /> other parties that.help administer this Enrollment. The personal information provided in connection with <br /> this''Enrollment will be used and protected in accordance .with the privacy statement available at <br /> https//www: 'icrosoft com/licensing/servicecenter. <br /> a. Primary contact. This contact is the primary contact for the Enrollment from within Enrolled <br /> Affiliate's Enterprise. This contact is also an Online Administrator for the Volume Licensing <br /> Service Center and may grant online access to others. <br /> Name of entity(must be legal entity name)* Indian River County BOCC <br /> Contact name* First Last <br /> Contact email address* <br /> Street address* <br /> City* State/Province* FL <br /> Postal code* - <br /> (For U.S. addresses, please provide the zip +4, e.g. xxxxx-xxxx) <br /> Country* USA <br /> Phone* Fax <br /> Tax ID <br /> b. Notices contact and Online Administrator. This contact (1) receives the contractual <br /> notices, (2) is the Online Administrator for the Volume Licensing Service Center and may <br /> EA201 1 EnrGov(US)SLG(ENG)(Ju1201 1) Page 9 of 14 <br /> Document X20-02113 <br /> 29 <br />